BOF 39

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BOF: 39

A 40 year old male has had a routine health screen and was found to have hypercalcaemia. He was entirely asymptomatic.

Further investigations are performed and they are as follows:

Calcium 3.0 mmol/L

Magnesium 1.06 (0.75-1.05 mmol/L)

Phosphate 1.1 mmol/L

24-hour urinary calcium excretion 2.1 mmol (2.5-7.5 mmol/24 hour)

In this patient which of the following is the most likely diagnosis?

a)      Primary hyperparathyroidism

b)      Secondary hyperparathyroidism

c)      Tertiary hyperparathyroidism

d)      Milk alkali syndrome

e)      Familial benign hypercalcaemia

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